Nov 17, 2013 11:20am EST
deductible policies. reforming medicare to create the right incentives. right now you have a medicare program that pays more for higher-lost operations regardless of outcome rather than incentivizing lower-cost, better outcomes, and preventive care. medicaid, giving states the flexibility to run programs -- i know joe agrees with me on that one. also for situations where you have pre-existing conditions, really empowering the state in high risk health care pools. 35 states have these kinds of pools. i think west virginia probably has one. i think a step-by-step comprehensive approach like that is what we advocate and we have legislation that we are putting forward to do it. >> i guess on that note about state and federal government working together -- >> here is where john and i have total agreement. the 10th amendment to the constitution gives the states rights. i am a defender of that, john is that. it is not democrat or republican. we are the laboratories of experiment. our founding fathers gives that power in the 10th amendment. certain things that states can do are more flexible.